Breast Sonography | Hands-On Tutorials in Imaging and Doppler Ultrasound

Hands-on breast ultrasound training class.

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Your Individualized Hands-On

Breast Ultrasound Training Experience

This hands-on ultrasound training experience is concise, comprehensive, and authoritative:

You’ll learn not only the breast ultrasound imaging protocol but the seven elements underlying it.  

You’ll also learn a seldom-used tactile technique to increase your detection sensitivity by nearly 15%.  


Just a single day together will change your trajectory forever.  

Before we begin a nearly full day of guided hands-on practice, we’ll frame up the goals and basis behind each.  We’ll prepare for both the quadrant and radial scanning approaches and learn the essential controls to ensure maximum detection sensitivity with imaging and all types of Doppler.  From there we’ll focus you on how to apply these to the systematic documentation (and communication) process.  You’ll intuitively separate normal from suspected abnormal states and apply every powerful tool ultrasound can offer in the tissue assessment.   The experience is a carefully orchestrated symphony of the How and the Why, so your contribution to Care is immediate and can deepen over time and practice.

Over forty years of experience and wisdom in sonography, engineering, and teaching stand with you: both in Class and perpetuity.

Who Will Benefit

This hands-on breast ultrasound training Class gives professionals from all specialties the tools to broaden and deepen their talents and open doors to lifelong opportunities.  These include Radiology and Mammography  Technologists, General Sonographers, Traditional and Advanced-Practice Nurses, and PAs.  
This class will not confer the requisite 12 months of clinical experience required to apply for credentialing,  but it will give you a particular edge at the start, when your potential Director says, “Now let me see you scan….
[Sonography Credentialing]

Very few areas of women’s’ care and the technology that supports it focuses as many elements on soft tissue analysis as breast ultrasound. As a research scientist, you’ll be able to measure precisely over time virtually every factor of soft tissue composition. If you’re a device manufacturer or marketing/sales professional, you’ll be best able to synergize your team’s capacity to build, sell, and support women’s care sonography.

No one in the field of medicine today has the depth and breadth of experience with ultrasound training for or within the Medical Device Industry as us. Over many years we’ve worked closely with nearly all ultrasound device manufacturers to steer and refine their products for clinical focus.

Though not yet a part of the formal role of Women’s OB/Gyn care, breast triage by ultrasound is becoming more accessible as pocket ultrasound technology rises as its price drops. Whether your in a Western Medicine setting with fee-for-services or a rural/field setting where reimbursement is irrelevant, these skills will save lives. You’ll be able to triage immediately, document articulately, and surveil accurately to make the right recommendations to your patient at the right time. And if you got experience with ultrasound in your Residency, this will concrete and build upon it for life.

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Are You New to Health Care?

Our hands-on ultrasound training focus is to take the practicing clinician and escort her or him to vastly greater hands-on ultrasound protocol and analysis skills in record time.
If you’re entering healthcare for the first time, you should consider your long-term goals and opportunities. 
In North America, you can apply to any of hundreds of accredited schools (18+ months duration) and upon graduation immediately undertake your formal credentialing exam.
You’ll find the US Government’s most authoritative and current overview of the ultrasound career field here.

Topics include:
Tuition Investment
Topics include:

The class is micro-sized so we can spend time on the topics we need to cover and all the ones you want to discuss:

  • Seven goals for breast ultrasound analysis: How and why each one contributes to the soft tissue diagnosis
  • Radial/Anti-radial scanning and the Quadrant approach to the breast survey
  • The one tactile process that will immediately take three years off your learning curve and add a decade to your bedside acuity.
  • How to use a full-visual field method to subconsciously read the entire image in real-time to trigger suspicion of abnormality
  • The Surgeon’s method of tactile breast scanning that can 15% to exam accuracy
  • The simple technique to effectively survey the retro-areolar area
  • Shear wave elastography: its basis and contribution in soft tissue analysis
  • Color, power, and spectral Doppler assessment: their subjective and quantitative contributions
  • Evaluation of the breast implant


Our approach is totally focused on the patient diagnosis.  We are deeply familiar with virtually every ultrasound machine and the manufactureapproachonale behind its design, features and functions.  No faculty members have any commercial interests or participation that might influence course content.  

There is no formal test in this class: we evaluate you continuodifferentiatingositive feedback and gentle corrections throughout.  Upon completion of this activity, and throulactationdretro mammary should be able to:

  • Identify the gross anatomy and soft tissue composition of the breast from the anterior surface to the chest wall
  • Demonstrate the suystematic approact to ultrasonic imaging of the breast, including radial-, quadrant, and tactile methods
  • Describe the ultrasonographic features expected from each of the following tissue regions: 
    • Cooper ligaments
    • the glandular region, differrentiating the 4 main parenchymal patterns: juvenile, pre-/postmenopausal, and pregnancy/lactatation
    • retromammary fat
    • ribs
    • ductal pattern in the nipple region
  • Apply a systematic criterion-based approach to sonographic findings based on:
    • margins: sharp/indistinct, smooth, jagged
    • retrotumoral acoustic findings: no change, acoustic enhancement, or shadowing
    • detailed description of the degree and location of shadowing/enhancement
    • skin & subcutaneous fat, and its responsive appearance with applied probe pressure
    • internal acoustic patterning: homo-/heterogeneous, iso-, hyp0-, and/or hyperechoic
    • effect of surface compression on shape and internal echogenicity
    • lateral-to-transverse dimension ratio
    • subjective color/power Doppler enhancement and spectral Doppler resistance index
    • shear-wave elastography
  • Demonstrate the protocol for systematic evaluation of the breast implant
  • Describe the basis for and differntiate the Stepladder Sign and extracapsular Speckle Noise finding in evaluation for implant rupture.

Tuition Investment

$600.  Single-day, 9 am-4 pm.  Your tuition includes your complete learning experience, printed course materials, and post-Class support in perpetuity.  Breakfast and light lunch is provided.


Your class experience is predominantly hands-on and content is tailored to both your specialty and experience, hour-to-hour.  In this live interactive process, nothing is formulaic and fixed, as specified by the many varied CME accreditation bodies.  Thus, we do not award formal Credit Hours, though your individualized experience here will advance your clinical skills dramatically.  Presently, ultrasound credentialing prerequisites require Clinical Experience Hours before application for an exam.  Ongoing CME is now specific to your registry specialty after you’re credentialed.   To this end, we’ll always direct you to the most appropriate free and low-cost traditional CME credit activities available online.

Download free ultrasound anatomy charts and worksheets.

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